| Factors affecting uptake of antenatal HIV testing in London: results of a multicentre study. | |
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MedLine Citation:
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PMID: 9472505 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: To measure the uptake of antenatal HIV testing and determine its relation to risk of HIV and to screening practices. DESIGN: Multicentre prospective questionnaire study. SUBJECTS: Pregnant women attending six maternity units. SETTING: Inner London, 1995-6. MAIN OUTCOME MEASURES: Uptake of testing by risk factors for HIV, ethnicity, and factors about the antenatal interview. RESULTS: All units had a "universal offer" policy for HIV testing. In five units forms were completed for 18,791 (88%) of 21,247 pregnant women. The sixth unit, where the response rate was too low to assess uptake, was excluded from the analysis. Uptake ranged from 3.4% to 51.2% (overall 22.9%), in parallel with detection of previously undiagnosed infection in pregnant women (4.9-60%). Controlling for unit, uptake was higher among the 7% who disclosed risk factors. Among those at low risk, uptake varied by ethnic group (South Asian women 9%; Latin American and Mediterranean women 33%). The relation between uptake and HIV risk category varied greatly across units. Despite increased HIV seroprevalence in black African women, uptake was similar in this group to that among women at low risk (24%). Uptake increased 2.1-fold if HIV transmission was discussed. Midwives reported spending 7 (2-15) minutes discussing HIV issues. CONCLUSIONS: Uptake of HIV testing was unacceptably low in all units, with maternity unit the strongest predictor. New approaches to antenatal HIV testing are urgently required and uptake should be audited routinely. |
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Authors:
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D M Gibb; S E MacDonagh; R Gupta; P A Tookey; C S Peckham; A E Ades |
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Publication Detail:
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Type: Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: BMJ (Clinical research ed.) Volume: 316 ISSN: 0959-8138 ISO Abbreviation: BMJ Publication Date: 1998 Jan |
Date Detail:
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Created Date: 1998-03-02 Completed Date: 1998-03-02 Revised Date: 2009-04-07 |
Medline Journal Info:
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Nlm Unique ID: 8900488 Medline TA: BMJ Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 259-61 Citation Subset: AIM; IM; X |
Affiliation:
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Department of Epidemiology and Public Health, Institute of Child Health, London. d.gibb@ich.ucl.ac.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Africa
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ethnology Counseling Female HIV Infections / diagnosis*, ethnology Health Care Surveys Humans Infant, Newborn London / epidemiology Patient Acceptance of Health Care / statistics & numerical data* Pregnancy Prenatal Diagnosis / utilization* Prospective Studies Risk Factors Sexual Partners Urban Health |
| Comments/Corrections | |
Comment In:
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BMJ. 1998 Jun 20;316(7148):1900
[PMID:
9669850
]
BMJ. 1998 Jan 24;316(7127):241-2 [PMID: 9472495 ] BMJ. 1998 Jun 20;316(7148):1901 [PMID: 9669855 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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